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Tobacco Use and Oral HPV-16 Infection

associations between objective biomarkers reflective of all current tobacco exposures (environmental, smoking, and use of smokeless tobacco) and oral HPV-16 prevalence.

Oral human papillomavirus type 16 (HPV-16), a sexually transmitted infection, is believed to be responsible for the increase in incidence of oropharyngeal squamous cell cancers in the United States.1 An association between selfreported number of cigarettes currently smoked per day and oral HPV prevalence has been observed.2,3 We investigated

Methods | The National Health and Nutrition Examination Survey (NHANES) is a cross-sectional, stratified multistage probability sample of the US population.4 The NHANES was approved by the National Center for Health Statistics institutional review board and written informed consent was

RESEARCH LETTER

Table 1. Description of NHANES Study Population Included in Analysis by Current Self-reported Tobacco Usea Tobacco Overall (N = 6887)

Current Use (n = 2012)

No Current Use (n = 4875)

Male

3494 (51.2)

1240 (61.4)

2254 (47.2)

Female

3393 (48.8)

772 (38.6)

2621 (52.8)

18-29

2219 (29.2)

685 (32.5)

1534 (27.9)

30-39

1551 (21.9)

454 (20.9)

1097 (22.3)

40-49

1596 (24.5)

476 (25.4)

1120 (24.1)

50-59

1521 (24.4)

397 (21.2)

1124 (25.6)

Non-Hispanic white

2724 (64.2)

996 (68.3)

1728 (62.6)

Non-Hispanic black

1548 (12.2)

498 (13.8)

1050 (11.5)

Hispanic, other, multiracial

2615 (23.6)

518 (17.8)

2097 (25.9)

Tobacco use and oral HPV-16 infection.

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